Integrated Healthcare Facilities Infrastructure

Warren Rosebraugh MSAWarren Rosebraugh, MSA

Director, Healthcare Solution Architect

Solution-BasedSolution BasedDesign ProcessDesign Process

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Schneider Electric Brands

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Solutions-based design process

Mi i

Operational Level(WHY)

What are the servicesprovided by the systems toits environment? Mission

of theSystem Identify the NeedsIdentify the Stakeholders

Function 1

Function 2Functional Level

(WHAT)What are the functionsthat the systems shall

Function 3 Function 4

(WHAT)perform?

Construction Level(HOW)

What are the resources thatform the systems?

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People Technical ComponentsSoftware Hardware

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Health system prioritiesImprove Financial

Performance

Improve Safetyand Securityand Security

Simplify Regulatory Priorities Compliance

Increase Patientand Needs

Increase Patient Satisfaction

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Improve Staff Productivity

Patient room of the future - Needs

PatientSimple WorkflowVisitor Experience

SatisfactionIndoor EnvironmentalStaff Productivity

pFlexible Configuration

ALOSQuality

Light Level

Reduces HumanError

EEntertainment Options

Quiet EnvironmentLight Level

Control

Modern GUI

EnergyEfficiency

Automated ComplianceReporting

Reduced Liability

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Patient Securityy

Simple PatientInterface

Reduced LiabilityRisk

Creates Positive PR

LifecycleLifecycle ConsiderationsConsiderations

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Lifecycle cost considerationInfrastructure investment criteria

● Clinical technologies have an 18 month to 3 year life cycle● Clinical technologies have an 18-month to 3-year life-cycle● Infrastructure technologies have a 15 to 30-year life-cycle

Facility lifecycleFacility lifecycle

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Energy use in hospitals

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Energy management lifecycle

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IntelligentIntelligentInfrastructuresInfrastructures

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Intelligent Infrastructures

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Functional Areas Impacted

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Energy Management Lifecycle

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Impact on Business Priorities

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Integrated ControlIntegrated Control PlatformPlatform

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Traditional facilities design

• Multiple networks from differentvendors

Critical PowerManagement

Clinical &Administrative

RTLS PatientInfant Staff

RegulatoryCompliance

Biometrics Elevator Intercom VisitorManagement

• Too many systems to learn• Complex troubleshooting• Higher capital and operational

expenditures

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White SpaceManagement

g

IntrusionDetection

BuildingManagement

LightingVideo AccessControl

Fire Safety EnergyManagement

Administrative Infant Staff Compliance Management expenditures• Obstacles to achieving energy

efficiency

Integrated Control PlatformReduce CapEx • Lowered equipment,

software &

Lower OpEx

software & installation costs

• Common footprint

p• Maintain design KPI’s• Faster training deployment• Minimized maintenance cost• Continuous commissioning

Delivers• Improved patient care• Improved patient / staff safety• Increase staff efficiency• Increase staff efficiency• Low energy cost• Improve financial performance

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Enterprise-level monitoring and reporting

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Making sense of big dataFacility

Benchmarking

BehaviorEmpoweringDashboards

ProactiveFault

Detection

CarbonFootprintA l i

IncidentForensics AnalysisForensics

PredictiveModeling

InformedEnergy

StandardizedCompliance

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ModelinggyProcurement

pReporting

UseUseCasesCases

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Value of a use case (Why, What, How) Improve Financial

Performance Translates

Improve Safetyand Security

Business Value

and Security

Simplify Regulatory Priorities Defines actualCompliance

Increase Patientand Needsfunctionality

Increase Patient Satisfaction

Part ofConstruction

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Improve Staff Productivity

Construction Documents

Integration with Clinical Systems – Use Case

ADTsystems

HL7

SurgicalNurse call & Bed Transaction

data

Meditech, Healthslide, EPIC, Rhapsody, Cloverleaf

Clinical

Facilities

gschedulingmanagement

AS sync

Transactioncoordinator

Facilities

SE HL7 Middleware

bridgeHL7listener

Eneergy strategy

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Hospitalcampus

Singlebuilding

Buildingautomation

Mechanical

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Security

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IHFI DesignIHFI Design DrawingsDrawings

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Implementation

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Traditional project approach

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Solution-based approach

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IPD – Integrated Project Deliveryffe

ctAbility to impact cost and functional capabilities

fort

/ Ef

Cost of design changes

IPD process

ign

Eff

Traditional process

Des

S h ti D i C t ti A it/P d i C t tiSchematic designCriteria design

Designdevelopment

Detaileddesign

Constructiondocuments

Implementationdocuments

Agency permit/biddingAgency

coordination/final buyout

Pre-design

Conceptualization

Construction

Construction

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Engage a specialist early to reduce waste and risk!

Integrated approach costs 12-15% less!

Less hardware Project managementLess hardware

Less installation

Project management efficiencies

Contract al efficienciesLess installation Contractual efficiencies

Less structured cabling

Site efficiencies

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Contracting methodology?

H d IH d I How do I guarantee

fair pricing?

How do I know what I

want? g

●Typically:●Individual systems are bid and bundled ●Provide deduct for advanced integration based on savings,

if awarded all systems●You’ve already missed the savings in your Power package for the

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Integrated Control Platform and the efficiencies it can deliver

Contracting methodology?Contracting methodology?● Instead, do this

● Bring Schneider Electric in as your Technology Integration Partner at the g y gy gconceptual design phase

● Use the Division 25 Specification to define integration via Use Cases● Procure your Power package to include the specific equipment and

installation efficiencies designed into Integrated Control Platform detailed by the Division 25 Specification

● Procure Fire package with BACnet option P ONE k ith l lt ifi ti (BMS● Procure ONE package with low voltage as one specification (BMS, security, CCTV, nurse call, lighting control, power metering, networking)

● Consider multi year multi discipline maintenance agreement● Consider multi-year, multi-discipline maintenance agreement● Evaluate true cost of ownership● Bundled service agreements for multiple systems to gain cost savings

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● Cost plus / guaranteed maximum price

Healthcare Expertise!Healthcare Expertise!● Dedicated Resources ● Continued investments in R&D● EcoStruxure for Healthcare● Single point of contact● End to end project delivery● End to end project delivery● Interoperability and open solutions● Best in class integration to 3rd party products● Understanding of healthcare customer needs and valueg● Off-site prefabrication● Cost certainty early in the project lifecycle● Improved program delivery● Reduced project risk● Reduced health and safety risk ● Improved Hospital margins

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Questions?Q

Thank You

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Elmhurst Memorial HealthcareElmhurst, IL

Project Featuresj● 260-bed acute care replacement hospital● 970,000 sf● New facility that ties to existing campus and a second

Energy Center

Construction Manager: Gilbane

Energy Center● Scheduled Completion Fall 2011● SE Project Value = $8.9M

Construction Manager: GilbaneMEP Engineer: Korda

LV Engineer: EDIIntegrated Technologies● Andover Continuum Building Management System● Andover Continuum Security Access System

P l IP C d ONSSI IP Vid M t● Pelco IP Cameras and ONSSI IP Video Management● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

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Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX

Project Features● 120-bed Acute Care Facility● Certified LEED Silver● 185,000 Square Feet● Project Completion Summer 2010● SE Project Value = $3.6M

Integrated Technologies● Andover Continuum Building Management System● Andover Continuum Security Management System

Architect: HKS, Inc.Construction Manager: Balfour Beatty

MEP Engineer: ccrd Partners● Andover Continuum Security Management System− Key Interfaces:

● Nurse Call● Intercom● Infant Protection

● Pelco IP Cameras and Video Management

gMedical Communications Planner: HKS, Inc.

● Pelco IP Cameras and Video Management● Square D Electrical Distribution System● Square D Powerlink Lighting Control System● Square D PowerLogic Utility Metering System● Intego Nurse Call

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● Intego Nurse Call● Bogen Overhead Sound

The Methodist Hospital Outpatient Care CenterHouston, TX,

Project FeaturesConsolidated comprehensive state of art facility● Consolidated, comprehensive state-of-art facility

● Dedicated to Outpatient Services and Procedures● 1.6M sf● 26 floors● Project Completion Summer 2010● SE Project Value = $8.5M

Integrated Technologies● Andover Continuum Building Management System● TAC/ I NET Security Access System Architect: WHR Architects

P M B dd & A i t● Pelco IP Cameras and Video Management● Square D Electrical Distribution System● Square D PowerLink Lighting Control● Square D PowerLogic Utility Metering

Program Manager: Broaddus & AssociatesConstruction Manager: Hensel Phelps

MEP Engineer: Smith Seckman Reid, Inc.LV Engineer: Datacom Design Group

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Massachusetts General Hospital Lunder BuildingBoston, MA

Project Featuresj● 150-bed Patient Tower Addition● 530,000 sf● 14 floors● Project Completion Summer 2011

Architect: NBBJ Architects

● Project Completion Summer 2011● SE Project Value = $6.5M

Integrated Technologies Architect: NBBJ ArchitectsConstruction Manager: Turner ConstructionMEP Engineer: Thompson Consultants, Inc.

LV Engineer: Thompson Consultants, Inc.

Integrated Technologies● Andover Continuum Building Management System● Andover Continuum Security Access System● Pelco IP Cameras and Video Management● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

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UCSF Neuroscience Laboratory and Clinical Research Building

Project Features● Clinical translation and basic research facility

gSan Francisco, CA

● Clinical, translation and basic research facility● Housing the Institute for Neurodegenerative Disease, the

Department of Neurology and the Keck Foundation for Integrative Neuroscience

● 237 000 sf● 237,000 sf● 5 Floors● Seeking LEED Silver Certification● Scheduled Completion Spring 2012

$● SE Project Value = $5.8M

Integrated Technologies

Architect: Skidmore, Owens and MerrillConstruction Manager: McCarthy Cook / Clark

MEP Engineer: WSP Flack & KurtzElectrical Contractor: Cupertino Electric

Integrated Technologies● TAC I/A Building Management System● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

S D IP CS I t t d E i t

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● Square D IPaCS Integrated Equipment

University of Chicago New Hospital PavilionChicago, IL

Project Featuresj● 240-bed Adult Hospital ● Focused on cancer, advanced surgery, high tech

imaging, the neurosciences and gastrointestinal procedures

Architect: Rafeal Vinoly Architects

● 1.2M sf● 10 floors● Scheduled Completion Fall 2012

Architect: Rafeal Vinoly ArchitectsConstruction Manager: Gilbane / W.E. O’NeilMEP Engineer: Affiliated Engineers / Primera

LV Engineer: RTKLIntegrated Technologies● Andover Continuum Security Access System● Pelco IP Cameras and Video Management● Pelco IP Cameras and Video Management● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

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Inova Fairfax Hospital South Patient Tower Falls Church, VA

Project Featuresj● 174-bed Patient Tower for Surgical and Intensive Care

Treatment● Seeking LEED Silver Certification● 216,000 sf

A hit t Wil t S I

216,000 sf● 11 floors● Scheduled Completion Fall 2012● SE Project Value = $4M

Architect: Wilmot Sanz, Inc.Construction Manager: Turner Construction

MEP Engineer: RMF EngineeringIntegrated Technologies● Andover Continuum Building Management System

S D El t i l Di t ib ti S t● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

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Santa Clara Valley Medical CenterSan Jose, CA

Project Featuresj● 168-bed Rehabilitation Center for traumatic brain injury

and spinal cord injury● Seeking LEED Certification● 375,000 sf375,000 sf● Scheduled Completion Spring 2012● SE Project Value = $4M

Architect: Anshen + AllenConstruction Manager: Turner Construction

MEP Engineer: ARUP Engineering Integrated Technologies● TAC I/A Building Management System

● Advanced patient room control interface through Nurse Call pillow speakerCall pillow speaker

● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

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Oklahoma Medical Research Foundation TowerOklahoma City, OKy,

Project Features● Oklahoma Medical Research Foundation● Oklahoma Medical Research Foundation

● investigative research entity focused at the molecular level

● 186,000 sf● 2010 Renewable Energy World North America Awardgy● Seeking LEED Gold Certification● Project Completion Spring 2011● SE Project Value = $4M

Integrated Technologies● TAC I/A Building Management System Architect: Perkins + Willg g y

● Phoenix Laboratory Airflow Control System● Wind turbine and Photovoltaic power monitoring● Lighting control system● Vivarium backup water control system

Construction Manager: Flintco, Inc.MEP Engineer: Phoenix Design Group

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● Heating, Process and Chilled Water system controls● Square D Variable Frequency Drives

Nemours/Alfred I. duPont Hospital for ChildrenWilmington, DE

Project Features● 180-bed Pediatric Hospital● 4 Building Hospital Campus● 4 Building Hospital Campus● 855,000 sf● Project Completion Summer 2007● SE Project Value = $4M

Integrated Technologies● Andover Continuum Building Management System

Construction Manager: SkanskaMEP Engineer: Affiliated Engineers, Inc.

LV Engineer: Affiliated Engineers Inc● Andover Continuum Security Access System● Pelco IP Cameras and Video Management● Square D Electrical Distribution System● Square D PowerLogic Utility Metering

LV Engineer: Affiliated Engineers, Inc.

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TCMC Commonwealth Medical CollegeScranton, PA

Project Features● Education & Research Building

180 000 f● 180,000 sf● Scheduled Completion Summer 2011● SE Project Value = $3.2M

Integrated Technologies● TAC I/A Building Management System

− Key Interfaces:

Program Manager:Construction Manager: The Quandel Group

MEP Engineer: ● Phoenix Lab Control System● Aircuity Monitoring System

● Andover Continuum Security Access System● Pelco IP Cameras and Video Management

gLV Engineer:

● Square D Clipsal Low Voltage Lighting System● Square D Variable Frequency Drives● Square D Electrical Distribution System● Square D Powerlink Lighting Control System

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q g g y● Square D Powerlogic Utility Metering System

Springfield Regional Medical CenterSpringfield, OH

Project Features● 254-bed Acute Care Hospital● 475,000 sf● Project Completion Summer 2011● SE Project Value = $3.2M

Integrated Technologies● Andover Continuum Building Management System

● Advanced patient room control interface through Nurse● Advanced patient room control interface through Nurse Call pillow speaker

● Square D Electrical Distribution System● Square D PowerLink Lighting Control● Square D PowerLogic Utility Metering

Architect: Champlin ArchitectureConstruction Manager: Danis Construction

MEP Engineer: Dynamix Engineering

● Square D PowerLogic Utility Metering

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St.Lukes Episcopal Hospital – Sugar LandSugar Land, TXg ,

Project Features● 106-bed Acute Care Hospitalp● 335,000 sf● Project Completion Fall 2008● SE Project Value = $3M

Integrated Technologies● TAC I/A Building Management Systemg g y● Andover Continuum Security Access System● Pelco IP Cameras and Video Management● Square D Variable Frequency Drives● Square D Electrical Distribution System

Architect: Page Southerland PageConstruction Manager: Linbeck

MEP Engineer: Smith Seckman Reid, Inc.

● Square D Electrical Distribution System● Square D Powerlogic Utility Metering System

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Texas Department of Health – Texas Center for Infectious DiseaseSan Antonio, TX

Project FeaturesProject Features● 75-bed tertiary care hospital

● Medical care and research facility for patients with tuberculosis and other related infectious, contagious diseases

● 60,000 sf● Project Completion Summer 2010● SE Project Value = $1.5M Construction Manager: JE Dunn Construction

MEP Engineer: O’Connell Robertson

Integrated Technologies● TAC/ I NET Building Management System

● Complex integration to laboratory airflow and pressurization systems

MEP Engineer: O Connell RobertsonSecurity Engineer: Kroll Security Group

pressurization systems● TAC/I NET Security Access System● Pelco Cameras and Video Management● Square D Electrical Distribution System

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● Square D PowerLogic Utility Metering